MICHAEL M LONG MD PC
NPI 1356548507
Internal Medicine - Hematology & Oncology in Mesa, AZ

Active since June 29, 2007
6424 E BROADWAY RD, 104, MESA, AZ 85206(480) 985-5331(480) 924-6919 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael M Long Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL M LONG MD PC (NPI 1356548507) is a healthcare organization registered as a hematology & oncology in Mesa, Arizona and active in the NPI registry since June 2007. The organization lists Julie Casillas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356548507
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMICHAEL M LONG MD PC
Location Address6424 E BROADWAY RD, 104Mesa, AZ 85206-1750
Mailing Address1432 S Dobson Rd, 106Mesa, AZ 85202-4768 · (480) 969-3637 · Fax (480) 969-6568
Fax(480) 924-6919
Organization SubpartNo
Authorized OfficialJulie CasillasAdministrator · (480) 969-4634
Enumeration DateJune 29, 2007
Last NPPES UpdateApril 9, 2008
NPI 1356548507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
6424 E BROADWAY RD, Mesa, AZ 85206

Other Identifiers 2

Medicaid28583402AZ
Medicare PINZ61473AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
6424 E BROADWAY RD, 104-105
MESA, AZ 85206
Nurse Practitioner (Adult Health)
6424 E BROADWAY RD, SUITE 104
MESA, AZ 85206
Anesthesiology
6424 E BROADWAY RD, SUITE 102
MESA, AZ 85206
Internal Medicine (Hematology & Oncology)
6424 E BROADWAY RD, SUITE 104 & 105
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD, SUITE 102
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD, SUITE 102
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael M Long MD PC's NPI number?

The NPI number for Michael M Long MD PC is 1356548507. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Michael M Long MD PC located?

Michael M Long MD PC is located at 6424 E Broadway Rd 104, Mesa, AZ 85206. The listed phone number is (480) 985-5331.

What is Michael M Long MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Michael M Long MD PC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.